Oral Cancer means cancer of the cavity of the mouth which includes the different areas like the inner lining of the mouth, tongue, gums, lips, the roof of mouth & floor of the mouth.
Oral Cancer means cancer of the cavity of the mouth which includes the different areas like the inner lining of the mouth, tongue, gums, lips, the roof of mouth & floor of the mouth. It appears as an ulcer, growth, or lump in the mouth which doesn't respond to treatment taken and doesn't heal over time.
Oral cancers are life-threatening and can spread to the whole body if not diagnosed and treated early.
When oral cancer is diagnosed early, it is much easier for us to treat. But still, most people get a diagnosis when their condition is too advanced for any treatment. Sometimes even when it is diagnosed early, people seek alternative treatments instead of standard protocoled treatment which leads to advancing their disease.
Oral cancer is seen most commonly in people who consume tobacco in any form and overindulge in alcohol.
Most people get oral cancer after the age of 50 years. But nowadays younger people in the age group of 25-30 years are also getting oral cancers. The younger the age, the more aggressive the tumor.
Men are at least two times more at risk to get oral cancer in comparison to women
A link between oral cancer and not eating enough vegetables and fruits is established in multiple studies.
It is important to note that over 25% of all oral cancers occur in people who do not smoke and who only drink alcohol occasionally.
It can be discovered as an ulcer, growth, or a lump during your routine dental examination or confounded by yourself on self- examination.
It is recommended for everyone to frequently self-examine their oral cavity in a mirror with bright light once a year and once in 3 months if the person is a smoker or tobacco chewer. One should look for any alteration in the surface and texture of the lining of all the areas of the mouth. For everyone in the general population, it is recommended to have a dental examination by a dentist for any swelling, ulcer, or lesion inside of the mouth once a year. The American Cancer Society recommends oral cancer screening exams every 3 years for persons over age 20 and annually for those over age 40.
If any suspicious lesion is found, it should be biopsied by the surgeon to diagnose oral cancer. If the biopsy is positive, then other investigations are advised-
If the biopsy is negative but the lesion is still suspicious, a repeat biopsy from the deeper areas is recommended.
It is difficult to predict life expectancy in exact figures in people with oral cancers. It develops on a lot of variables like the stage of the disease, location of cancer, and spread of cancer to various parts of the face and body.
The life expectancy is estimated and told in terms of the 5-year survival rate of the suffering patients.
The overall 5-year survival rate for patients with an early diagnosis of oral cancers with no spread to other parts of the face and body is more than 85- 90 %.
If cancer has spread to nearby tissues or lymph nodes, the 5-year survival rate drops to 70%
If cancer has spread to the body, the 5-year survival rate is less than 40%.
Yes. Up to some extent, oral cancer can be prevented by
Oral cancer is treated in the same manner many other cancers are treated. Surgery is done to remove the cancerous growth along with the reconstruction of the mouth and face, followed by radiation therapy and/or chemotherapy (drug treatments) to destroy any remaining cancer cells.
Initially, general anesthesia is administered by a very competent anesthetized and intensivist. Tracheostomy is done if required. A Ryles's nasogastric tube is inserted through the nose and a urinary catheter is placed for draining urine and monitoring.
Then, modified radical neck dissection is done by the cancer surgeon to remove the possible diseased lymph nodes from the neck and wide local excision of the tumor beyond its indurated and hard margin is done along with the removal of the involved upper jaw and/or lower jaw if required.
Oral Cancers involve critical structures associated with major functions. Excision of part or all of these structures causes disfigurement and misfunctioning of the structures. Reconstruction may include bone, muscle, and/or skin transfer along with the associated blood vessels to rebuild areas damaged by cancer and cancer treatment. The goal of reconstruction after head and neck surgery is to return the appearance and function to its original form as much as possible. This is accomplished through a variety of techniques.
Microvascular reconstruction is an advanced surgery in which a highly powerful microscope is used to re-establish connections in the blood vessels and nerves for tissues that are transferred from one part of the body to the other.
The harvested tissue is used to reconstruct the area with the surgical defect. It helps to heal the defect and helps restore form and function.
*depend on the constituents of the created defect*
Then Skin Flap Transfer composed of skin, fascia, and fat is harvested from the forearm or thigh to reconstruct the tongue, floor of the mouth, cheek, lip skin, and pharynx. Radial artery forearm free flap, Anterolateral thigh flap, and Medial sural artery perforator free flap are very commonly used flaps used by Dr. Amit Agarwal.
Skin and soft tissues from the forearm region are harvested with their artery and vein. The flap is then transferred to the head and neck region. The flap is reshaped and is inset with the remaining mucosa and soft tissues present, and the vessels are anastomosed at the recipient site with the appropriate artery and vein. The donor site is covered with the help of a skin graft taken from the thigh. Dr.. Amit Agarwal does not prefer this flap now as it leaves a bad scar over the forearm.
Skin and soft tissues from the outer aspect of the thigh are harvested with their artery and vein. The flap is then reshaped & inset in the created defect. The donor site is primarily closed with sutures. This is the flap of choice by Dr. Amit Agarwal for even large oral cavity reconstructions as the donor site is well hidden under the clothes.
Skin and soft tissues from the inner aspect of the calf are harvested with their artery and vein. The flap is then transferred to the head and neck region and inset in the defect. The donor site is primarily closed with sutures. Dr. Amit Agarwal prefers this 'new age flap' now for small oral cancer reconstructions as it gives the best cosmetic result in both the face and leg region.
Then Free Bone+Skin flap Transfer, harvested from the leg is used when part of the lower jaw is removed along with cancer. This flap restores the external appearance of the face, and it restores chewing, swallowing, and speech functions.
Free fibula flap- The fibula Bone which is the smaller one of the two bones present in the leg, is harvested with its artery, vein, and skin. The flap is then transferred to the head and neck region. The bone is reshaped and is fixed with the remaining jaw bone with plates, skin and soft tissues taken with the bone are inset in the defect created after the excision, and the vessels are anastomosed at the recipient site with appropriate artery and vein.
The donor site is covered with the help of a skin graft taken from the thigh. Removing part of the fibula bone from the leg does not create any problem in walking or movements of the leg and foot. For dental rehabilitation, dental implants are placed one year after the surgery.
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
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